go back

Alabama rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $331.13 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $338.84